Sebastian's Resume

Github

[email protected]

Experience

Data Scientist @ AIM (Elevance Health)

Oct 2021 — Today
- Establishing an Azure machine learning pipeline using Python to solve a binary classification problem of whether a home health authorization service line can be auto-approved, significantly saving clinical costs.
- Running a pilot under the clinical AI team to evaluate John Snow Labs' NLP capabilities in a specific use-case for physical therapy. Comparing against other in-house and custom NLP techniques.
- Developing tree-based machine learning models to auto approve MRI cases based on different modalities, using scikit-learn pipelines, CatBoost, and NLP techniques.
Senior Actuarial Analyst @ myNexus (Elevance Health)

Feb 2021 — Oct 2021
- Performing opportunity analysis for expansion into new Post-Acute Care markets, using common utilization and cost
  metrics.
- Budgeting and forecasting Home Healthcare markets with assumptions for utilization, cost, and membership.
- Assembling Tableau and Excel reports with claim line level details in SQL, creating metrics and reporting for home
  health data including days, episodes, and visits.
Actuarial Analyst II @ Optima Health

Apr 2019 — Jan 2021
- Developed analytical dashboards using Excel and SQL for complex self-funded stop-loss product lines, including projections, IBNR, and rating methods. Working closely with data science consultants for stop loss predictions.
- Forecasted loss ratios in commercial line of business based on historical pricing, membership, and claims trends.
- Performed traditional actuarial roles in rate filing, pricing, and trend analytics for commercial groups.
Actuarial Analyst @ Conrad Siegel

Nov 2016 — March 2019
- Managed multiple OPEB plans, valuing school district and township medical, prescription, dental, and vision benefits.
Marketing Analyst @ Woodstream

Dec 2015 — Nov 2016
- Lead development of statistical safety stock models with current observations and assumptions for operations management.